Treatment of acute myocardial infarction has changed in recent years. Tremendous debate has developed over the efficacy of percutaneous coronary intervention compared with fibrinolysis. If primary percutaneous coronary intervention is available, it is the preferred treatment for acute ST segment elevation myocardial infarction.
Aim: Three months mortality of patients admitted to hospital with ST elevation myocardial infarction in city of Szombathely was analyzed.
Methods: Mortality rates of two time periods were compared: year 2005 without primary percutaneous coronary intervention capability and year 2008 when local primary percutaneous coronary intervention was available.
Results: In patient group with no longer than 12 hours ischaemic period 3 months mortality rate was lower in 2008 compared to 2005 (3.6% versus 15.6%). First of all, the relative high 3 months mortality rate in patient group treated with fibrinolytic therapy was responsible for this difference. Decreasing number of patients with longer than 12 hours ischaemic time in 2008 versus 2005 was also important.
Conclusion: Implementation of primary percutaneous coronary intervention for the management of ST segment elevation myocardial infarction patients in Szombathely was effective for patients' outcome.